ORTHOPAEDICS NORTHEAST, PC
NPI 1629037353
Podiatrist in Wabash, IN

Active since March 21, 2006
710 N EAST ST, WABASH, IN 46992(260) 484-8551(260) 484-9603 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Podiatrist

About ORTHOPAEDICS NORTHEAST, PC

This page provides the complete NPI Profile along with additional information for Orthopaedics Northeast, Pc, a provider established in Wabash, Indiana operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1629037353 assigned on March 2006. The practitioner's primary taxonomy code is 213E00000X with license number 50001907A (IN). The provider is registered as an organization and their NPI record was last updated one year ago. Orthopaedics Northeast, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Raymond Kusisto (Ceo)

NPI
1629037353 Verify this NPI
Provider Name
ORTHOPAEDICS NORTHEAST, PC
Entity Type
Organization
Location Address
710 N EAST ST WABASH, IN 46992
Location Phone
(260) 484-8551
Location Fax
(260) 484-9603
Mailing Address
5050 N CLINTON ST FORT WAYNE, IN 46825
Mailing Phone
(260) 484-8551
Mailing Fax
(260) 484-9603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2006
Last Update Date
09-11-2025
Code Navigator

A podiatrist like Orthopaedics Northeast, Pc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
50001907A
License State
IN
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

50001907 (IN)
2207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

50001907A (IN)
3208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

50001907A (IN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RAYMOND KUSISTO

Authorized Official Title
CEO
Authorized Official Phone
(260) 484-8551

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Skilled Nursing Facility
710 N EAST ST
WABASH, IN 46992
Emergency Medicine
710 N EAST ST
WABASH, IN 46992
Obstetrics & Gynecology (Gynecology)
710 N EAST ST
WABASH, IN 46992
Anesthesiology
710 N EAST ST
WABASH, IN 46992
Internal Medicine
710 N EAST ST
WABASH, IN 46992
Orthopaedic Surgery
710 N EAST ST
WABASH, IN 46992
Anesthesiology
710 N EAST ST
WABASH, IN 46992
Family Medicine
710 N EAST ST
WABASH, IN 46992
Emergency Medicine
710 N EAST ST
WABASH, IN 46992
Internal Medicine (Hematology & Oncology)
710 N EAST ST
WABASH, IN 46992
Emergency Medicine
710 N EAST ST
WABASH, IN 46992
Family Medicine
710 N EAST ST
WABASH, IN 46992
Respite Care
710 N EAST ST
WABASH, IN 46992
Dietitian, Registered
710 N EAST ST, PARVIEW WABASH HOSPITAL
WABASH, IN 46992
Pharmacist
710 N EAST ST
WABASH, IN 46992
Psychiatry & Neurology (Neurology)
710 N EAST ST
WABASH, IN 46992
Physical Medicine & Rehabilitation
710 N EAST ST, FIRST FLOOR
WABASH, IN 46992
Internal Medicine (Hematology & Oncology)
710 N EAST ST
WABASH, IN 46992

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629037353, enumerated as an "organization" on March 21, 2006.

The provider is located at 710 N EAST ST WABASH, IN 46992 and the phone number is (260) 484-8551.

Podiatrist with taxonomy code 213E00000X.